Permit a:•
CITY TIGARD MECHANICAL PERMIT
I,, DEVELOPMENT SERVICES PERMIT #: MEC2006 -00073
- e�� II' 13125 SW Hall-BIvfr Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 2/3/2006
PARCEL: 2S101 DC -04500
SITE ADDRESS: .-44F3s3'SW TECH ENTER DR A ZONING: I -P
SUBDIVISION: TECH CENTER BUSINESS PARK LOT: 001 JURISDICTION: TIG
Project Description: Remove existing 5 ton and replace with 5 ton. Value: $7059
CLASS OF WORK: ALT FLOOR FURN: EVAP COOLERS:
TYPE OF USE: COM UNIT HEATERS: VENT FANS:
OCCUPANCY GRP: B VENTS W/O APPL: VENT SYSTEMS:
STORIES: BOILERS /COMPRESSORS HOODS:
FUEL TYPES 0 - 3 HP: DOMES. INCIN:
NAT 3 - 15 HP: COMML. INCIN:
MAX INPUT: BTU 15 - 30 HP: REPAIR UNITS:
FIRE DAMPERS ?: 30 - 50 HP: WOODSTOVES:
GAS PRESSURE: 50 + HP: CLO DRYERS:
FURN < 100K BTU: AIR HANDLING UNITS OTHER UNITS:
FURN > =100K BTU: 1 < =10000 cfm: GAS OUTLETS:
> 10000 cfm:
Owner: FEES
SUMMIT PROPERTIES INC Description Date Amount
4444 NW YEON [MECH] Permit Fee 2/3/2006 $179.30
PORTLAND, OR 97210 [TAX] 8% State Surcharg 2/3/2006 $14.34
Phone: Total $193.64
Contractor:
ARROW MECHANICAL
10330 SW TUALATIN RD REQUIRED ITEMS AND REPORTS
TUALATIN, OR 97062
Contact #: FAX 503- 691 -1879
PRI 503- 692 -1565
Reg #: LIC 5193
•
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and
all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not
started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires
you to follow rules adopted in the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC by calling 503 - 246 -6699
or 1- 800 - 332 -2344.
Issued By: Permittee Signature:
Call 503 - 6394175 by 7:00 a.m. for inspections that bus' 4
This permit card shall be kept in a conspicuous place on the job site unti completion oft • roject.
Approved plans are required on the job site at the time of each inspection.
Mechal Cal Permit 503.598.1 App . � : ∎ '« ); A ID r F012 OFFICE USE ONLY
City of 7 rd
13125 �V Hall b v d, Tigard, OR 97223
Phone: 503.639.4171 P at Re . Pmt No. f- J , U -� xO n . A ,
FEB 0 3 Plan Review Other Permit:
Inspection Line: 503.639.4175 L(- lJ /
Fax: %0 �',!!
. . r I l D Re
Internet: www.ci.tigard.or.us 1 � -. ` Ready/By: hair Ea See Page 2 for
CITY O F v /t „� Notified/Method Supplemental Information
�Y � ' Z -� ti � CITY i1 � V C'11W
; k' C e; R J:r. z , ...Y t _ < � ,:f, / � 5 t.. is h .7 � <. i ... .� �� f r 6 - � t t r l� 1 j �� 1 r Wei y.. �
❑ New consttiiction Addition/alteration/replacement Mechanical pew fees* aro based on the value of the work
performed Indicate the value (rounded to the nearest dollar) of all
❑ Demolition A Other. mechanical
r , s r , r _s.c �5 :, ,,.,c materials, equipment, lue: overhead, profit
. 5 ,� t - r i f-, C f•�o� f G�. ♦k { t 1 1 ; tiP 1 t t - Value: $
O erh
�... c. u.. .. . s�..... „ ea and
x
2-family « ' }y 1":7.:', t 1 Y:1 f'tr ler le ,2 ?', 5'.: e + fi r tf� F J1 ,� ti
❑ 1- and 2- Commer�cial/mdustrial ❑ Accessory building ., . i - ._ ,_ ..ae , ,. t _ Y rc Y
Multi For special brformadon use checklist.
❑ y Master builder ❑ Description I Qty. I Ea. I Total
a: ' .._ _5'__�dr •=> - T: , _ M --- :`:!- .'. ` 4- N - A : .
" l `t 1j' a f ° 4 S° /fit > ` r . . .. ,>.. - -S nea �
. .�. .... e . . f.. 1. - �G._..3. t au: n . ..i.y. :..._. :......_..� ._r.i � .e- :- .. .ai . _ '^.I�' :
Job site address: 7 5 - 5 -- 5 -- S j TCe C 8 7- Air conditioning or heat pomp 0 ,,,,die. site plan showing placement) 14.00
City / State/ZIP: 776.A R Li J �� Furnace 100,000 BTU (ducts/vents) 14.00
Furnace 100,000+ BTU (duets/vents) 17.90
Suite/bldgJapt. no.: I Project name: Gas heat um
P p 14.00
Cross street/directions to job site: Duct work 14.00
Hydronic hot water system 14.00
Residential boiler (radiator or
hydronic) 14.00
Unit heaters (fuel -type, not electric),
in -wall, in -duct, suspended, etc. 10.00
Subdivision: I Lot no.: Flue/vent for any of above 10.00
Other 10.00
Tax map /parcel no.: Other fuel appliances
i. 1- EI a 25- . x1743 .30 : 01 ffM - rIZ Water heater 10.00
Gas fireplace
PL/ 5 f A/ ;..d .. % RC i ✓i Q\ Ex! 5 % ) f,( T o /.,/ Flue vent for water heater or gas 10.00
fireplace 10.00
6 A GIG � R 6- n e.. W 0 0,-,, TV of Log lighter (g) 10.00
�r � , r .. CL1C lf4 / EGU�I D tl I s a / N a 11- Wood/pellet stove 10.00
0 ! L L. 5/1 C- (/°'e 0 Lin wood fireplace/insert 10.00
z 4 Y , ":` o .cw . u',F� 7- r a * mney/liner /flue/vent 10.00
Y .•s,. • ,,. . ' ' 5 � .. �?ay ChiOther
Name: -- 10.00
f e c ' .� I 0 / ,t ,.J S �L. Environmental exhaust and ventilation
hie.. a hood/other kitchen
Address: �S '� �� equipment 10.00
City/StaWZIP: f' Clothes
�✓�s'dacz0 / 1 ��zz3 dry er exhaust 10.00
Single -duct exhaust (bathrooms,
Phone: ( ) Fax: ( ) toilet compartments, utility rooms) 6.80
4 ti + a P ,.s � 4,a '_ � . I` r : T Attidcrawlspace fans 10.00
Business name: t Other. 10.00
/L�1� �f � '� � �,-' N !Gal Fuel piping
�
r
Contact name: J ' ../ ti Oe_L 4 G2. $5.40 for first four; $1.00 for each additional
Address: /� !1 S 17.1 71 ! 1 -1 �D Furnace, etc.
Gas heat pump
City/State/ZIP: 7 I / / OR 9 7.56,2___ q ' . Wall/suspendediunit heater
Phone: ( ) 1, 9 Z - /S , 5 I Fax:: ( r ) cp / ... / ? J Water heater
Fireplace
E-mail:
F
!; -`y?:i t^c 5 Yt TI 'yi +�.. 1.74 + S.- s -5 .!-. 't. .^ 7 ,C 2'T C 17 .. • ` fie
ti.' :-,v1 Y4 .� ?.1 v.''`" .. .: t .or �?.. S,q k.�' 5.74)g..`*. .+,-%:-. .,`�`.. _- .1•:`..i a� ?:S f= ,' Barbecue
Business name: 4 g �� ,, / Clete ., N I C/J L � Clothes dryer (gas)
Address: / lb/ V � N / /!pI { Otlter,� Y fir
T'o.; i� Y b / _�G� �.. ..�� °t_ d, yM ,?_
City/State/ZIP: T" Subtotal 7 3
Phone: ( ) I Fax: ( ) /. , / Minimum permit fee ($72.50)
�y Plan review (25% of permit fee) /
5-7 / 3 � e y / V State surcharge (8% of permit fee) P"1, .51'
CCB tic.:
// TOTAL PERMIT FEE /9 3 . /p
Authorized signature: 2/Z V TIM permit application expires if permit b not obtained within 1g
I _ da after It has been accepted as complete.
n_ _.... _... I . _ . _ . I • m........tuvinL,n„ ../ r ,., T.:_l�n..wv R..:IA:..n T...I.w�.v C....:n.. An...1
CITY OF TIGARD 61 EC_
,
BUILDING DIVISION PERMIT #:aOQ‘, — 00 0 -7 3
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 -4171 -Ii
Inspection Requests (24 Hrs.): (503) 639 -4175 �
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7S-53— 7 - A CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: 6_6 / PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
( 7 zp-K 1 9 . 3 - 3 - - - - 0 o , 7
q' oo
Corrections /Comments /Instructions: I
,P_, Y ) 0
r
■ • w I I f dir ir - — mr ap4.
•
� tw
111 ..III ilell' V/Er - , . 1 1/4 --
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL • CALL FOR INSPECTION ❑ ADDITI NAL F ES ASSESSED
A� 0 2--1
Inspector: A� 1L Date: K� Phone #: (503) 718-
in pr•